Healthcare Revenue OS

The operating system for healthcare revenue, built to cut denials, reduce A/R days, and lower cost to collect by coordinating eight connected layers in one system.

OVERVIEW

Revenue workflows were not built for today’s complexity

Healthcare revenue work is spread across too many systems, portals, and handoffs. Eligibility, authorization, documentation, claims, and follow-up often live in different tools and different teams, which creates rekeying, status chasing, and inconsistent execution. As payer rules vary and exceptions increase, even strong teams spend too much time coordinating work instead of advancing it.

Infinx's Healthcare Revenue OS addresses this by unifying revenue work into one operating system that connects systems, automates routine steps, and routes exceptions with control.

HEALTHCARE REVENUE OPERATING SYSTEM

One system of execution for revenue work end to end

Healthcare Revenue OS connects to your environment and provides a single operating system across patient access and RCM workflows. It standardizes how work moves, executes routine steps with AI and automation, routes exceptions to humans with clear ownership, and keeps performance visible across the lifecycle.

EIGHT LAYERS

The OS is eight layers working together

Most vendors deliver one layer and leave your team to manage the gaps. Healthcare Revenue OS is designed as a complete operating system so outcomes hold across payers, service lines, and sites.

  1. AI and automation
    Reasoning plus execution that completes routine work at scale and escalates exceptions with context.

  2. RCM experts
    Human expertise that resolves edge cases and continuously strengthens playbooks and coverage.

  3. Payer connections
    Connectivity that reduces manual follow-up across portals, APIs, and clearinghouses.

  4. Provider system integration
    EHR and billing connectivity that reduces rekeying and data gaps that create rework and denials.

  5. Security and compliance
    Enterprise safeguards that enable scale without limiting scope or fragmenting workflows.

  6. Workflow execution
    Rules, queues, SLAs, and exception paths that keep work moving from intake to completion.

  7. Workforce orchestration, human-in-the-loop
    Governed routing between agents and humans so the right work lands in the right place fast.

  8. Analytics and insight
    Visibility that ties activity to outcomes and shows where bottlenecks and leakage are forming.

AI AND AUTOMATION

Reasoning plus execution, built into Healthcare Revenue OS

Healthcare Revenue OS combines intelligence that can reason through revenue work with automation that can reliably execute it across systems. The reasoning layer interprets context, identifies risk early, and selects the best next action based on workflow rules and payer behavior. The execution layer completes steps end to end, updates statuses, triggers the next task, and escalates complex cases to humans with the right context.

RCM EXPERTS

Exception resolution that keeps outcomes from drifting

Denials and A/R delays often live in exceptions, payer nuance, documentation gaps, and policy changes. RCM experts ensure exceptions do not become backlog. They resolve complex cases, reinforce playbooks, and help keep workflows resilient as conditions change.

PAYER CONNECTIONS

Reduce status chasing and compress cycle time

Payer interactions are where time gets lost and rework multiplies. Payer connection in Healthcare Revenue OS reduces portal work and follow-up loops by connecting payer channels into the system of work, so workflows advance with fewer touches and faster reimbursement.

PROVIDER SYSTEM INTEGRATION

Connect to EHR and billing systems, reduce rework and denials

Provider integration removes the manual bridge between systems that causes errors, missing fields, and inconsistent handoffs. Healthcare Revenue OS connects to provider systems to pull what is needed, execute workflow steps, and return results back so teams stay aligned and data stays clean.

Infinx security and compliance

SECURITY AND COMPLIANCE

Enterprise safeguards that allow the OS to scale

Security and compliance determine how broadly the system can be deployed. Healthcare Revenue OS supports enterprise requirements so teams can expand automation and workflow standardization across entities and service lines without creating parallel processes or limiting integration scope.

WORKFLOW EXECUTION

Keep RCM work moving end to end, not just within one step

Workflow execution prevents cases from stalling between tasks. It governs queue movement, prioritization, SLAs, and exception paths so work advances predictably. This is where you eliminate hidden delays that stretch A/R and create avoidable follow-up.

WORKFORCE ORCHESTRATION, HUMAN-IN-THE-LOOP

Governed handoffs between agents and humans

This layer ensures the right work lands with the right resource. Healthcare Revenue OS routes tasks between agents and humans based on complexity, risk, priority, and capacity, and prevents exceptions from bouncing between teams. That is how you protect SLAs, reduce rework, and keep cycle time from creeping back up.

ANALYTICS & INSIGHT

Make outcomes measurable and repeatable

Sustained improvement requires visibility into what is happening across the lifecycle. Analytics and insight in Healthcare Revenue OS connects activity to outcomes so leaders can see where denials are forming, where work is stalling, and what is driving cost to collect.

OPERATIONAL OVERSIGHT

The OS stays reliable because every layer is continuously managed

Infinx's Healthcare Revenue OS is not a set-it-and-forget-it implementation. Each layer requires ongoing oversight so the operating system performs as conditions change across payers, systems, volumes, and workflows. This is not “we do the work for you,” it is governance, tuning, monitoring, and continuous improvement that keeps the OS operating consistently.

Operational oversight includes:

  • Monitoring automation coverage and failure patterns, updating rules and playbooks
  • Managing payer variability and change, updating payer-specific pathways and exception logic
  • Ensuring integrations stay healthy as portals, APIs, and EHR workflows change
  • Managing queue health, SLAs, exception routing, and Human-in-the-loop thresholds
  • Maintaining security controls, access governance, audits, and compliance requirement

Every layer requires operational oversight so the OS stays reliable, not just implemented.

AGENT SUITES

Agent Suites powered by Healthcare Revenue OS

Patient Access Plus, RCM Plus, and Document Capture Plus are the Agent Suites built on Healthcare Revenue OS. Each suite runs inside the same operating system and uses the same eight layers, integrations, workflow execution, security controls, and insight. Start with one suite, then expand without adding new tools or rebuilding workflows.

Patient Access Plus 
Automate routine eligibility and authorization work, then route exceptions to humans with context and priority to reduce downstream rework.

RCM Plus 
Standardize downstream execution, reduce manual touches, and keep exceptions moving with governed routing so A/R does not age due to stalled work.

Document Capture Plus
Convert fax, PDFs, and uploads into structured data that can be routed into workflows automatically, reducing manual keying and keeping cases moving

ADD-ON AGENTS

Add agents inside the same operating system

Add-on agents run inside Healthcare Revenue OS and use the same routing, integrations, and controls. They expand capability where bottlenecks live without changing your operating model.

Examples include contact center and voice agents, coding agents, credentialing agents, and intake agents.

SERVICES POWERED BY THE OS

Outsourced execution, upgraded with Healthcare Revenue OS

Some providers want to outsource defined workflows to a vendor that staffs humans to do the work. Infinx can deliver the same FTE-led execution model. Unlike traditional outsourcing, where people work outside a unified tech ecosystem, Infinx teams execute inside Healthcare Revenue OS.

What OS-powered services change:

  • Higher throughput per FTE by reducing manual touches and duplicate work
  • More consistent execution through standardized workflow execution and routing
  • Faster exception handling through Human-in-the-loop controls and priority logic
  • Better operational visibility with analytics tied to workflow performance

The operating system removes friction that normally limits outsourced productivity, it standardizes steps, reduces manual touches through AI and automation, routes exceptions with control, and keeps work visible. This lets our teams deliver higher productivity per FTE and more reliable outcomes than a human-only approach.

Faq

Questions about Healthcare Revenue OS

If you are evaluating any of our solutions, these are the most common questions teams ask about the operating system that powers the solution, how it fits with your environment, and how the Agent Suites and services are delivered.

Healthcare Revenue OS is The Operating System for Healthcare Revenue. It unifies revenue work into one operating system that connects systems, automates routine steps, and routes exceptions with control across patient access and RCM workflows.

Point solutions typically improve one task, then leave your team to manage the gaps between steps, handoffs, rekeying, status chasing, and exception routing. Healthcare Revenue OS coordinates eight connected layers so the system holds the workflow together end to end.

Traditional outsourcing often relies on humans doing the work with limited platform support and limited workflow control. With Healthcare Revenue OS, outsourced execution can be delivered by Infinx teams working inside the operating system, which improves productivity and consistency versus a human-only model.

Because denials, A/R delays, and high cost to collect are created in the gaps, not just within one step. The eight layers close those gaps by combining AI and automation, integrations, workflow execution, human-in-the-loop routing, security, and insight into one coordinated system.

They are Agent Suites powered by Healthcare Revenue OS. Each suite runs inside the same operating system and uses the same eight layers, so you can start with one suite and expand without adding new tools or rebuilding workflows.

Agent Suites provide broader workflow coverage within a domain. Add-on agents are targeted capabilities you add when a specific bottleneck appears, and they run inside Healthcare Revenue OS using the same routing, controls, and visibility.

No. Healthcare Revenue OS is designed to work with your environment. It connects to provider systems and payer channels so workflows can be executed and updated without rip and replace.

Healthcare Revenue OS executes routine steps through AI and automation. When work requires judgment or payer-specific handling, it routes exceptions to humans with context, priority, and clear ownership, and then returns outcomes back into the workflow.

Healthcare Revenue OS includes ongoing operational oversight across layers to keep workflows reliable as payer rules, integrations, volumes, and exception patterns change. That oversight maintains playbooks, routing, integration health, and performance improvement over time.

Most teams start with the highest-impact workflow lane or one Agent Suite, align on what should be automated vs handled by humans, connect the required systems, and expand once performance stabilizes and exception handling is running smoothly.

See Healthcare Revenue OS in your workflows

We’ll map where work is stalling, where touches are piling up, and which OS layers, Agent Suites, and agents align to your targeted outcomes.